Individual
DR. STEVEN R MENDIVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
206 CALLAHAN AVENUE, TROY, MT 59935
(406) 295-4120
(406) 295-9550
Mailing address
PO BOX 3002, 206 CALLAHAN RD SUITE 1, TROY, MT 59935-3002
(406) 295-4120
(406) 295-9550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1458
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121290
—
MT
Enumeration date
07/10/2006
Last updated
02/24/2010
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